| NPI | 1689980633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT01401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 12051) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-08-27 |